Provider Demographics
NPI:1407567530
Name:LUMINIS HEALTH DOCTORS COMMUNITY MEDICAL CENTER, INC.
Entity Type:Organization
Organization Name:LUMINIS HEALTH DOCTORS COMMUNITY MEDICAL CENTER, INC.
Other - Org Name:DOCTORS HOSPITAL, INC.
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR REVENUE CYCLE OPTIMIZATION
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:WARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:667-204-7182
Mailing Address - Street 1:8118 GOOD LUCK ROAD
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706
Mailing Address - Country:US
Mailing Address - Phone:301-552-8118
Mailing Address - Fax:
Practice Address - Street 1:8118 GOOD LUCK ROAD
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706
Practice Address - Country:US
Practice Address - Phone:301-552-8118
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LUMINIS HEALTH DOCTORS COMMUNITY MEDICAL CENTER, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-12-09
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273R00000XHospital UnitsPsychiatric Unit
No282N00000XHospitalsGeneral Acute Care Hospital